Becker's ASC

2015 CMS modifier -59 reporting change: 4 new modifiers added

The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...
The American Journal of Managed Care

Avoiding Risk Using New X Modifiers for Medicare Reimbursement

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...
Becker's ASC

CMS: Guidance on colonoscopy anesthesia modifier, X modifiers

CMS has released new guidance on two different coding modifiers, according to an AGA eDigest report. CMS has expanded the range of service to which the PT modifier refers to include lower GI/endoscopy ...
Fierce Healthcare

State Medicaid programs have questions about Oct. 1 NCCI edit implementation

The Patient Protection and Affordable Care Act (PPACA) mandates that state Medicaid programs "effective for claims filed on or after Oct. 1, 2010, incorporate compatible methodologies of the National ...